Tongue Pain: Causes and When to Seek Dental Care - Dentistry

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Issues with the tongue?


Hello doctor, I have been experiencing sudden pain at the base of my tongue.
When I looked in the mirror, I noticed something has grown next to my tongue, which seems to be the cause of the pain.
I would like to know if this is just due to excessive heat in my body or if there is a more serious issue.
Will it go away on its own in a few days, or do I need to go to the hospital for further examination? Thank you.

Dilly, 20~29 year old female. Ask Date: 2016/07/08

Dr. Zeng Guanghui reply Dentistry


Sudden pain at the base of the tongue with the appearance of a lesion on the side of the tongue may indicate an ulcer.
Typically, such ulcers will heal on their own within about a week.
However, if the ulcer does not improve after a week, it is advisable to consult a dentist for further examination of the oral mucosa.

Reply Date: 2016/07/08

More Info


Tongue pain can be a perplexing issue, and understanding its causes is essential for determining the appropriate course of action. Based on your description, it appears that you are experiencing pain at the base of your tongue, accompanied by the presence of a growth or lesion. This situation can arise from various factors, and it is crucial to assess the symptoms to understand whether it is a minor issue or something that requires professional dental care.


Possible Causes of Tongue Pain
1. Irritation or Injury: One of the most common causes of tongue pain is irritation from biting the tongue, burning it with hot food, or even from dental appliances like braces. If the growth you see is a result of trauma, it may heal on its own within a few days.

2. Infections: Viral infections, such as herpes simplex, can lead to painful sores on the tongue. Fungal infections, like oral thrush, can also cause discomfort and lesions. If the growth is white or has a cottage cheese-like appearance, it could indicate thrush.

3. Allergic Reactions: Allergies to certain foods, medications, or dental products can cause swelling and pain in the tongue. If you have recently introduced new foods or products, consider whether they could be the cause.

4. Canker Sores: These are small, painful ulcers that can develop on the tongue and other areas of the mouth. They often resolve on their own within a week or two.

5. Geographic Tongue: This benign condition causes patches on the tongue that can be painful or sensitive. The exact cause is unknown, but it is generally harmless.

6. Oral Cancer: While less common, persistent pain or growths in the mouth, especially if they do not heal, can be a sign of oral cancer. This is particularly concerning if you are a smoker or have other risk factors.


When to Seek Dental Care
Given the symptoms you are experiencing, it is advisable to monitor the situation closely. Here are some guidelines on when to seek dental care:
- Persistent Pain: If the pain lasts more than a week or worsens over time, it is essential to consult a dentist.

- Growth Changes: If the growth increases in size, changes color, or starts to bleed, you should seek professional evaluation.

- Difficulty Eating or Speaking: If the pain interferes with your ability to eat, drink, or speak, it is time to see a dentist.

- Accompanying Symptoms: If you experience other symptoms such as fever, swelling, or difficulty swallowing, you should seek immediate care.


Conclusion
In summary, while tongue pain can often be attributed to minor issues such as irritation or infections, it is crucial to remain vigilant. If the pain persists or if you notice any concerning changes in the growth, it is best to consult a dentist for a thorough examination. They can provide a definitive diagnosis and recommend appropriate treatment options. In the meantime, maintaining good oral hygiene and avoiding irritants can help alleviate discomfort. If you have any further questions or concerns, do not hesitate to reach out for professional advice.

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